Maintenance - How are you maintaining?

Just getting into maintenance by moving from 10 mg down to 7.5 mg of tirz and stretching it to every other week. Appetite has returned, which helps because intake was too low earlier.

If the dose that reached the goal is still tolerable, it may be worth holding there for a while to observe what happens next. Adjustments can be made later if weight trends start to shift slowly.

Match the dose to results while staying under the side-effect limit. The amount needed just to hold weight steady will usually be lower than the amount that produced the loss. On maintenance the relevant sides are things like daily quality of life or how much effort is still required to manage hunger and food thoughts. The practical method is to weigh regularly, track a simple moving average, and allow some buffer so small daily swings do not trigger constant changes. A fourteen-day average from daily weigh-ins cuts down the noise. After enough time a dose and schedule that simply works should appear and can be kept until something alters the equation. Current cut is 20 mg Reta plus 2.5 mg Tirz plus 1 mg Elora each week. An August trial suggests dropping Reta to 8 mg per week at the start of maintenance. Depending on how sides feel, Reta may be reduced or removed while Tirz or Elora is adjusted. Mid-November is the rough target for reaching maintenance, subject to how the last abdominal fat responds.

Already in maintenance and keeping the same amounts: 7.5 mg tirz every six days, then 2 mg reta three days after that. This routine has held for a couple of months with no further loss and no urge to change yet. The aim now is to add muscle and reduce the remaining loose skin on the inner arms and thighs, which has been slow to tighten.

Six months into maintenance on the same dose used for the final stretch of loss. One shot per week works fine and keeps the schedule simple. Scale weight has been fairly steady, and the small additional drop has been almost all fat, so body composition has improved. The current dose probably will not stay fixed forever, but any reduction will be gradual and only when it becomes necessary.

At goal weight and planning to hold 5 mg tirz on Mondays plus 5 mg reta on Thursdays. Instead of lowering the GLP doses, the plan is to raise daily food intake. More calories were already possible during the loss phase but not desired. The GLPs act as a firm floor and there is reluctance to let that protection slip and allow food noise to return.

Admires the confidence that an inexpensive unofficial supply of Reta will stay reliable for maintenance across the next twenty years until a generic version appears.

Close to goal and still working out the right maintenance level. The highest dose reached was 3 mg Reta; currently 2 mg once a week looks like it may be the right amount. One milligram was hoped for, but realism is needed because returning food noise would be hard to ignore.

Maintenance has kept the reta dose unchanged so far, with daily calories increased instead. A small reduction in reta has just begun so tirz can be added, with the longer-term goal of using more tirz than reta each week.

Down forty pounds but still ninety short of goal, so maintenance is still months away. Past losses have always led to strong rebounds, which is the main worry. Weight loss stops if calories fall below 1200, so an alternate-day fasting pattern was adopted: maintenance calories one day, fast the next. Some form of fasting once or twice a week will probably stay necessary along with whatever GLP ends up being most effective.